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General NPI Number Information
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NPI Number | 1760588347
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Entity Type | Individual
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Provider Name | LISA ANN URIE GROFT CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 532 W PITTSBURGH ST
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City | GREENSBURG
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State | PA
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Zip | 15601-2239
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Country | US
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Telephone | 724-832-4217
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Fax |
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Provider Business Mailing Address
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Address Line | RR 5 BOX 513G 1159 BAIR HILL RD
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City | MOUNT PLEASANT
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State | PA
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Zip | 15666-8929
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Country | US
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Telephone | 724-423-2036
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN262223L
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License Number State | PA
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